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Hotel/Motel Program - Request A Quote


Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

Company Name
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Hotel Brand
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First Name
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Last Name
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Street
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City
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State
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ZIP / Postal Code
Required
Primary Phone Number
Required
E-Mail Address
Required
Annual Revenue
Optional
Annual Employee Payroll
Optional
Building Limit (Replacement Cost)
Optional
Contents Limit (Replacement Cost)
Optional
Construction Type
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Year Built
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Corridor to Rooms
Optional
Sprinkler System
Required
Current Policy Effective Date
Required
/ /
Pool
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Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

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Agency
Halloran Risk Advisors
2002 Summit Blvd., Ste. 300
Atlanta, GA 30319


Phone: (404) 566-4745
Fax: (404) 855-4036
Email: info@halloranrisk.com
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